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探索医疗保健领域人工智能集成的社会层面:对利益相关者关于挑战与机遇观点的定性研究

Exploring the social dimensions of AI integration in healthcare: a qualitative study of stakeholder views on challenges and opportunities.

作者信息

Moldt Julia-Astrid, Festl-Wietek Teresa, Fuhl Wolfgang, Zabel Susanne, Claassen Manfred, Wagner Samuel, Nieselt Kay, Herrmann-Werner Anne

机构信息

TIME - Tübingen Institute for Medical Education, Faculty of Medicine, University of Tübingen, Tübingen, Germany

TIME - Tübingen Institute for Medical Education, Faculty of Medicine, University of Tübingen, Tübingen, Germany.

出版信息

BMJ Open. 2025 Jun 27;15(6):e096208. doi: 10.1136/bmjopen-2024-096208.

Abstract

OBJECTIVES

This study aimed to investigate the opportunities and challenges associated with integrating artificial intelligence (AI) in healthcare by exploring the perspectives of various stakeholders. The objective was to provide a nuanced understanding of stakeholder views to address concerns and promote the acceptance and successful integration of AI technologies in medical practice.

DESIGN

This exploratory qualitative study used semi-structured interviews. Data were analysed using a combination of deductive and inductive coding, followed by content analysis to identify and develop categories.

SETTING

This study was conducted in Tübingen, Germany, within the framework of the TüKITZMed project (Tübingen AI Training Center for Medicine), between August 2022 and March 2023.

PARTICIPANTS

A total of 38 stakeholders participated, including 6 lecturers, 9 clinicians, 10 healthcare students, 6 AI experts and 7 institutional stakeholders. Inclusion criteria included professionals involved in or affected by AI in healthcare, while exclusion criteria comprised individuals without relevant experience.

INTERVENTIONS

Not applicable.

OUTCOME MEASURES

The main outcome was the identification of thematic categories capturing stakeholders' perceptions, expectations and concerns regarding the integration of AI in healthcare.

RESULTS

The analysis identified two main thematic categories: two main categories encompassing a total of 14 subcategories: (1) perceived opportunities of AI in medicine, including aspects of increased efficiency, reduced workload and improved patient safety and (2) perceived challenges of AI in medicine, such as its impact on medical decision-making and concerns about dependence on technology. These themes reflect diverse perspectives and insights across stakeholder groups.

CONCLUSIONS

Diverse stakeholder perspectives offer valuable insights into the anticipated effects of AI in healthcare. Understanding these perspectives can support decision-makers in designing context-sensitive AI strategies and identifying areas for further professional and institutional development. Future research should monitor how these attitudes evolve in response to technological progress and real-world implementation.

摘要

目标

本研究旨在通过探索不同利益相关者的观点,调查在医疗保健中整合人工智能(AI)所带来的机遇和挑战。目的是对利益相关者的观点进行细致入微的理解,以解决相关问题,并促进人工智能技术在医疗实践中的接受和成功整合。

设计

本探索性定性研究采用半结构化访谈。使用演绎编码和归纳编码相结合的方法对数据进行分析,随后进行内容分析以识别和发展类别。

背景

本研究于2022年8月至2023年3月在德国图宾根的图宾根医学人工智能培训中心(TüKITZMed项目)框架内进行。

参与者

共有38名利益相关者参与,包括6名讲师、9名临床医生、10名医学生、6名人工智能专家和7名机构利益相关者。纳入标准包括参与医疗保健领域人工智能或受其影响的专业人员,排除标准包括没有相关经验的个人。

干预措施

不适用。

结果测量

主要结果是识别出反映利益相关者对医疗保健中人工智能整合的看法、期望和担忧的主题类别。

结果

分析确定了两个主要主题类别,共包含14个子类别:(1)人工智能在医学中的感知机遇,包括提高效率、减轻工作量和改善患者安全等方面;(2)人工智能在医学中的感知挑战,如对医疗决策的影响以及对技术依赖的担忧。这些主题反映了不同利益相关者群体的多样观点和见解。

结论

不同利益相关者的观点为人工智能在医疗保健中的预期效果提供了有价值的见解。理解这些观点有助于决策者设计因地制宜的人工智能策略,并确定进一步专业和机构发展的领域。未来的研究应监测这些态度如何随着技术进步和实际应用而演变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d84/12207147/df82302c3686/bmjopen-15-6-g001.jpg

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